ROCKHAMPTON EQUESTRIAN CENTRE

      ROCKHAMPTON, BERKELEY, GLOUCESTERSHIRE. GL13 9DX.     email; rockequ@aol.com. Tel; 07976 361929
 

ENTRY FORM       - SHOW DATE________________________________     

CLASS                HORSE/PONY & REG NUMBER                                   OWNER RIDER & REG NO                                         E/FEE

                                                                                                                                            1st Aid £3 per horse/pony MAX charge £6 per rider £                                       

                                                                                                                                                                                                                                 TOTAL

__________________________________________________________________________________________________________________________   

IT IS A CONDITION OF ENTRY THAT EVERYONE WHO ENTERS OR ATTENDS THE SHOW DOES SO ENTIRELY AT THEIR OWN RISK & ACCEPTS THAT NEITHER ROCKHAMPTON EQU CENTRE OR ANY OF THEIR STAFF OR HELPERS CAN IN ANYWAY BE HELD RESPONSIBLE OR LIABLE FOR ANY ACCIDENT, INJURY,ILLNESS,LOSS OR DAMAGE THAT IS INCURRED BY THEM, THEIR PROPERTY OR ANIMALS WHILST ON OR IN THE VICINITY OF THE SHOWGROUND.   I ACKNOWLEDGE I AM TAKING PART IN A RISK SPORT.

NAME___________________________________________________________                                            

SIGNED : _____________________________________

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SIGNATURE (Junior Rider - Parent or gaurdian)__________________________________________________                                                     

PLEASE REMEMBER TO PUT YOUR REGISTRATION NUMBERS ON FORM SO BS GET RIGHT INFORMATION FOR LEAQUES & QUALIFICATIONS